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NPI 1871593905

NPI 1871593905 : LORNA A TURNAGE NP : PORTAGEVILLE, MO

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General NPI Number Information
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    NPI Number           |    1871593905
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    Entity Type          |    Individual 
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    Provider Name        |    LORNA A TURNAGE NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/29/2005
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    Last Update Date     |    03/03/2009
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Provider Practice Location Address
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    Address Line         |    203 E 3RD ST 
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    City                 |    PORTAGEVILLE
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    State                |    MO
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    Zip                  |    63873-1401
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    Country              |    US
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    Telephone            |    573-379-2100
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    Fax                  |    573-379-2101
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Provider Business Mailing Address
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    Address Line         |    203 E 3RD ST 
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    City                 |    PORTAGEVILLE
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    State                |    MO
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    Zip                  |    63873-1401
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    Country              |    US
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    Telephone            |    573-379-2100
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    Fax                  |    573-379-2101
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    112386
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    261QR1300X
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    Taxonomy Name        |    Rural Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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